LARRY VAN CARSON (NPI# 1588764385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588764385 |
| Entity Type | Individual |
| Full Name | LARRY VAN CARSON |
| Credential | M.D., MBA |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30046-7694 |
| Mailing Address |
Po Box 9788 Belfast ME 04915-9788 |
| Practice Telephone | 6783121000 |
| Mailing Telephone | 9102950215 |
| Mailing Fax Number | 9102950218 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 20197 | GA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 01082907A | IN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 25835 | TN | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 0101039834 | VA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 2008-02090 | NC | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 14284 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5911722 | 05 | |
| WV | 0089635000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Aviemore Dr, Pinehurst, NC 283749700 | 9107158700 | 9107158761 |
| 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN 468451673 | 2604256780 | 2604256615 |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285704429 | Don William Penney | Neurological Surgery | 753 Old Norcross Rd, Ste A, Lawrenceville, GA 30046-4312 | 2006-11-08 |
| 1356368492 | Erol Veznedaroglu | Neurological Surgery | 3100 Princeton Pike # 3, Suite D, Lawrenceville, NJ 08648-2300 | 2006-07-16 |
| 1154348175 | Kenneth M. Liebman | Neurological Surgery | 3100 Princeton Pike Bldg 3, Suite D, Lawrenceville, NJ 08648-2300 | 2006-07-16 |
| 1477587756 | Michael A Amaral | Neurological Surgery | 575 Professional Drive, Suite 350, Lawrenceville, GA 30046-3347 | 2006-07-10 |
| 1902802515 | Princewill U Ehirim | Neurological Surgery | 500 Medical Center Blvd, Suite 200, Lawrenceville, GA 30045-8708 | 2005-06-28 |
| 1174078752 | Stechison Neurosurgery Atlanta, LLC | Neurological Surgery | 743 Old Norcross Rd, Lawrenceville, GA 30046-4317 | 2016-08-24 |
| 1851794903 | Gni Neuroservices LLC | Neurological Surgery | 3100 Princeton Pike Bldg 3, Suite D, Lawrenceville, NJ 08648-2300 | 2014-10-03 |
| 1750722484 | Avital Perry | Neurological Surgery | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2013-07-10 |
| 1538426549 | Evan Kyle Winograd | Neurological Surgery | 631 Professional Dr Ste 360, Lawrenceville, GA 30046-3370 | 2012-04-15 |
| 1013216472 | Daniel Roque Felbaum | Neurological Surgery | 3100 Princeton Pike, Building 3, Suite D, Lawrenceville, NJ 08648-2300 | 2011-03-23 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.